| NPI | 1912231820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: IL 046010721) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618001891) |
| 152W00000X Optometrist (Licence: IN 18003750) | |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2013-08-21 |